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MAP International promotes the Total Health of people living in the world’s poorest communities by partnering to: · Provide essential

medicine · Promote community health development · Prevent and mitigate disease, disaster and other health threats

Mission

health
&

hope

annual

2008

report

President’s Letter

Dear MAP Supporters: In 2008, perhaps as never before, Americans learned the lesson that the world really is ﬂat. Not just in the sense of global competition, but in the way that world economies and events are linked. As our nation began to assess the ﬁnancial realities facing us, we also saw the ripple effect that our economy had on the rest of the world. And as millions of Americans saw their investments shrink and ﬁnancial future become more uncertain, we became aware of others around us who are in greater need than ever before. On behalf of all of MAP International’s staff, I want to thank so many of you, our donors, for remaining steadfast in your support of our work. In the long run, we don’t know how MAP will be affected by the economic downturn, but we have every conﬁdence that we will weather the storm by carefully managing our way through it and keeping in mind that we are merely stewards of the gifts you entrust to us. By presenting this annual report, we hope to share with you the accomplishments that your support has made possible as we continue to provide essential medicines, promote community health development and prevent and mitigate disease, disaster and other health threats. One of the U.N.’s Millennium Development Goals, a set of eight international development milestones, is to reduce poverty by half from the 1990 level by 2015. Today there are 1.4 billion people living in poverty. That’s one person in four living on the equivalent of $1.25 a day, according to a November 2008 World Bank study. As bad as that sounds, it is actually down from 1.9 billion people, or one half the world’s population, 25 years ago. We know that poverty and a lack of healthcare exist side by side, so MAP continues to send life saving medicines and supplies to the world’s poorest communities. In October 2008, MAP became a member of the Integral Alliance, an association of Christian relief and development groups from Europe, Asia and the U.S. who are focused on addressing poverty and its impacts through holistic development. Because of MAP’s commitment to total health, we foresee tremendous value in this partnership as we expand our work into even more regions of the world. MAP is also marking another important milestone in our history. For the past 11 years, Dr. David Hungerford, a world-renowned orthopedic surgeon, has served faithfully as the Chairman of MAP’s Board of Directors. In that role, he has brought tremendous servant leadership to the organization in both word and deed. At the end of 2008, Dr. Hungerford spent two weeks in Zambia, one of many mission trips he has taken during his illustrious career. The purpose of this trip was to perform joint replacement surgeries while teaching and mentoring a local orthopedic surgeon at a hospital run by one of MAP’s partners. It is MAP’s privilege to have beneﬁted from Dr. Hungerford’s generosity of spirit, wisdom and leadership. At the conclusion of his recent trip, he wrote, “My two weeks was a pebble tossed into a still pond, but the ripples will go on for a very long time and others will be trained to toss their pebbles as well, so one can hope that the ripple will not stop.” It is a life lesson we should all hope to emulate. With God’s grace, MAP’s ministry has continued to grow – through ups and downs – for 55 years and it will for another 55 and beyond. Yours for Health and Hope,

• Provided more than $2.3 million in medicines and supplies including insecticide-treated mosquito nets for Uganda, where a decades-old civil war continues. • Supported hurricane victims in Haiti with a total of more than $5 million in medicines. • Provided hundreds of thousands of dollars’ worth of medicine to Myanmar after the country was devastated by a cyclone.

• Conducted health care support groups for mothers and children in 15 villages on Tello Island, Indonesia in addition to holding health care seminars on subjects such as nutrition. • Monitored 165 water pump management committees in 151 villages and drilled two new wells in Cote d’Ivoire’s Bouna City and Bouko villages, reducing prevalence of water borne diseases. • Established 19 health committees to improve the health situations in three provinces in Ecuador. • Trained 360 youth facilitators to conduct workshops on education and prevention among 6,100 youths from 25 high schools and 5 communities in Ecuador. • Established 6 clinics to treat tens of thousands of people affected by violence in Kenya.

Provide Essential Medicines
• Provided more than $462 million in essential medicines and medical supplies to more than 115 countries affected by war, poverty, disaster and disease. • Treated more than 100,000 children in Cote D’Ivoire for digestive parasites in conjunction with the National Nutrition Week. MAP also provided medicine to help treat an additional 200,000 school students as part of the government’s Deworming Campaign. • Provided more than $1.5 million in essential medicines and medical supplies to people in Sudan, where millions are struggling to survive the harsh conditions of displacement camps.

Prevent and Mitigate Disease, Disaster and Other Health Threats
• Treated more than 7,800 patients through MAP’s Primary Health Care Clinic and Community Program in Chilimarca, Bolivia and supported training for volunteer community health promoters. • Immunized more than 1,600 dogs and cats against rabies ultimately preventing children and adults in Chilimarca, Bolivia from suffering from this disease. • Provided education, health care, and nutritional meals for 184 elementary school children through MAP’s Community School for Life in Chilimarca, Bolivia.

Promote Community Health Development
• Provided educational programs for more than 2,000 people about the prevention of child sexual abuse and the importance of advocacy programs in Bolivia. • Provided therapy, health care and legal services for 105 children who were subjected to sexual abuse in Bolivia. • Provided total health services designed to reduce child mortality and strengthen community organization for 200 impoverished, rural communities in Bolivia through volunteer health promoters trained by MAP.

• Improved access and quality of health services to prevent and treat common diseases in seven communities in Uganda’s Amuru and Gulu districts. Staff members at • Sent an additional $3.1 million in medicines and MAP’s community clinics treated 7,492 people for malaria, emergency supplies to clinics in Chad, which has 3,626 people for diarrhea, 1,966 people for eye infections, been reeling from ﬁghting and an inﬂux of refugees 3,485 people for intestinal worms, and 10,756 people for who have spilled across the border with Darfur. other diseases and infections.

MAP International Accomplishments 2008

• Supported community-based programs in Bolivia in which 455 people from various impoverished rural areas learned more about integrating people with disabilities into the community. • Constructed an eight-room health clinic in the Ugandan community of Wii Anaka. • Carried out a study of malaria in Amuru district, Uganda, and subsequently conducted educational programs about prevention and treatment of the disease within the area. • Helped prevent new cases of tuberculosis in Indonesia through community education classes in 20 villages, reaching nearly 10,000 people. MAP also treated nearly 100 tuberculosis patients at MAP’s health clinics in south Nias and trained 24 health workers in TB-speciﬁc care and treatment techniques. • Helped plant 200 vegetable gardens in Nias, Indonesia, improving the nutrition of more than 300 families. • Transferred responsibility of the MAP-built hospital on Indonesia’s Tello island to a local Indonesian partner, furthering MAP’s goal of establishing health care programs and facilities operated by and for communities. • Organized training workshops for 218 health professionals, including 41 medical doctors, 126 nurses, 48 midwives and three laboratory technicians in three health districts in Cote d’Ivoire. • Trained 180 health promoters in total health principles and practices, reaching a total beneﬁciary population of more than 9,300 in 89 communities. • Conducted training workshops for health promoters managing 33 community pharmacies and health clinics established by MAP in three provinces in Ecuador.

Forbes For the 10th year in a row, Forbes magazine has recognized MAP with a nearly perfect score of 99 percent for charitable commitment and fundraising efﬁciency. That means 99 percent of MAP’s resources go to providing health and hope to the world’s poorest people. MAP International seeks to act with integrity, openness, honesty and accountability. We recognize that the ﬁnancial and material resources with which we work are not our own, but have been entrusted to us for use in alleviating the suffering of others. To assure our supporters of our commitment to providing full disclosure of our use of financial resources, MAP International submits its records for independent review. The following organizations have examined MAP International and afﬁrm our commitment to good stewardship. Better Business Bureau’s Wise Giving Alliance The BBB’s Wise Giving Alliance has listed MAP among those charities in the United States that meet its Standards for Charity Accountability, a stringent test that assesses charitable organizations based on issues such as goverefficiency rating” nance, effectiveness, ﬁnancial responsibility and fund raising. The Standards were established to help donors make intelligent giving decisions and to develop conﬁdence in charitable organizations among the public. Charity Navigator MAP International is recognized as a “Four Star” nonproﬁt organization by Charity Navigator, America’s premier independent charity evaluator. MAP earned the rating because it “exceeds industry standards and outperforms most charities in its cause.” Of more than 5,300 rated charities, MAP falls within the 18 percent of organizations that have received the four-star rating. Evangelical Council For Financial Accountability (ECFA) MAP is a charter member of the ECFA, an accreditation agency dedicated to helping faith-based charities earn the public’s trust through adherence to seven Standards of Responsible Stewardship. Founded in 1979, it is comprised of more than 1,200 organizations that must meet strict standards regarding board governance, ﬁnancial transparency, integrity in fundraising, and proper use of charity resources. Partnership for Quality Medical Donations The Partnership for Quality Medical Donations and its members, in alliance with related organizations, is dedicated to the development, dissemination and adherence to high standards in the delivery of medical products to underserved people and disaster victims around the world.

“99 percent

MAP earned the rating because it “exceeds industry standards and outperforms most charities in its cause.”

MAP Responds to Emergencies in 2008

MAP International consistently provides medicines, emergency supplies and other resources to help combat the devastating effects of poverty, diseases, wars and natural disasters that affect millions of people. In 2008, MAP responded to crises across the globe, from Asia and Africa to the Americas. Due to MAP’s work, millions of men, women and children affected by disaster received lifesaving, emergency health care. MAP’s relief efforts in 2008 included:

• Kenya. In the weeks following the eruption of violence in early 2008, MAP established six clinics to treat people who ﬂed the ﬁghting, including three mobile units designed to deploy rapidly to areas where healthcare was critically needed. MAP clinicians provided care for more than 30,000 people, including many wounded by machetes or other weapons used in the ﬁghting. Illnesses such as malaria and dysentery were a threat to those displaced by the conﬂict, so MAP also provided preventative treatments for children. • Myanmar. With more than 100,000 people dead and up to 1.5 million homeless after a cyclone struck Myanmar early in the summer of 2008, MAP shipped hundreds of thousands of dollars’ worth of medicine to the area, including dozens of MAP Disaster Packs, each ﬁlled with antibiotics, ﬁrst aid items, water puriﬁcation tablets and other medicines and emergency supplies.

• Haiti. A series of hurricanes hit the island in 2008, leaving thousands of people homeless and many injured. MAP responded with multiple air shipments of medicines, including one cargo plane laden with more than 700 pounds of medicines worth over $350,000. MAP provided a total of more than $10 million in medicines to Haiti for hurricane relief. • Zimbabwe. At the end of 2008, Zimbabwe was reeling from a cholera epidemic that had affected thousands of people throughout the country. MAP responding by sending nearly $1 million dollars worth of analgesics, antibiotics, syringes and other medical supplies. MAP has continued providing emergency medicines to the country into 2009.

• Democratic Republic of Congo. By the close of 2008, nearly 15,000 men, women and children had ﬂed ﬁghting in the Congo, many taking refuge in Uganda, others staying in camps within their own country. Some had lost every single member of their family during attacks. MAP provided more than $460,000 in medicines and medical supplies to aid more than 65,000 survivors. • Honduras. Heavy rains caused severe flooding and mudslides in Honduras that killed at least 40 people and affected 320,000 others, destroying crops, homes, hospitals, health clinics and highways. MAP, which has an ofﬁce in Honduras, responded with more than $155,000 in medicines and medical supplies. Throughout the world, wherever disaster strikes, MAP International strives to provide urgently needed medicines, supplies, and nutritional supplements that save lives and help people begin to recover from crisis.

MAP Healthcare Partners

Much of what MAP is able to achieve is due to the generous support of our healthcare partners, who provide pharmaceutical supplies and ﬁnancial resources for medical programs around the world. In 2008, nearly 70 companies assisted MAP to provide essential medicines and medical products to people in 117 countries. Schering-Plough Corp., MAP’s very ﬁrst healthcare partner, continued its 55-year tradition of support by providing medicines and funding for MAP’s Travel Pack and Long-Term Health Development program. Merck & Co. Inc. entered its second decade of working with MAP by continuing to provide medicines and vaccines which MAP shipped to partner agencies, clinics and hospitals around the globe. When a devastating cyclone struck Myanmar, MAP airlifted a Johnson & Johnson Emergency Relief Module, including essential supplies such as sutures, dressings and antibiotics to the stricken area. These are just a few of the ways that MAP’s healthcare partners are helping us provide essential medicines to the parts of the world where the need is greatest.

“Johnson & Johnson has partnered with MAP International for more than 10 years on a special program that provides medical supplies to individuals and physicians engaged in humanitarian missions. MAP’s excellence in the effective administration of this Medical Mission Pack program has allowed professional volunteers to provide much-needed healthcare services to thousands of underserved people around the world each year.”
William Lin Manager, Corporate Contributions Johnson & Johnson

These are the Statements of Financial Position of MAP International as of September 30, 2008 and 2007, and the related Statements of Activities for the years then ended. Financial statements audited by out Independent auditors, Capin Crouse. LLP are available upon request.

MAP International Medical Fellows

“ I know when I look back in my medical school education, this trip and the opportunity that MAP has afforded me will be one of the highlights of my many years of training. I am deeply indebted to them and admire all the work they do to make sure everyone in the world has equal opportunity and access to healthcare.”

Jim Leonard Reach International Healthcare Davao City, Philippines

In 1971, MAP International received a grant from DeWitt Wallace, founder of Readers Digest, to establish a program for senior medical students to travel to mission hospitals or clinics for six- to eight-week internships. Since then, more than 1900 students have participated in this opportunity to experience ﬁrsthand the need for medical care in developing countries. The MAP International Medical Fellows (MIMF) class of 2008 was comprised of 24 fourth-year medical students or residents who traveled to 16 hospitals in 11 countries. One member of the class is a second generation MAP Fellow. Josh Carter from the University of Kentucky College of Medicine embarked on an eight-week fellowship to Tenwek Hospital in Kenya. Josh’s father, Dr. Stephen Carter of Waynesboro, PA was a fellow in MAP’s inaugural fellowship class in 1971, traveling to Zaire.